Inspection on 10/03/06 for Macintyre Care - 12 Woodland Road

This inspection was carried out on 10th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Macintyre Care - 12 Woodland Road 17/01/07

Macintyre Care - 12 Woodland Road 18/05/05

Macintyre Care - 12 Woodland Road 02/12/04

Macintyre Care - 12 Woodland Road 06/07/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Macintyre Care - 12 Woodland Road 12 Woodland Road Whitby Ellesmere Port Cheshire CH65 6PR Lead Inspector Maureen Brown Unannounced Inspection 9:30 10 March 2006 th Macintyre Care - 12 Woodland Road DS0000006682.V259203.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Macintyre Care - 12 Woodland Road DS0000006682.V259203.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Macintyre Care - 12 Woodland Road DS0000006682.V259203.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Macintyre Care - 12 Woodland Road Address 12 Woodland Road Whitby Ellesmere Port Cheshire CH65 6PR 0151 200 6847 01267220562 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) MacIntyre Care Mrs Sandra Earlam Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Macintyre Care - 12 Woodland Road DS0000006682.V259203.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 4 service users in the category of LD (learning disability) 18th May 2005 Date of last inspection Brief Description of the Service: 12 Woodland Road is a care home for four adults with a learning disability. Located in a residential area of Ellesmere Port the home is close to shops, pub and the town centre. The home is a dormer bungalow and service users are accommodated on the ground floor. All the bedrooms are single and are individually furnished and decorated. Each of the bedrooms contains hoists and other lifting aids to assist service users. The home provides one bathroom, one shower with toilet and two separate toilets. Communal space consists of a dining area in the kitchen, lounge and conservatory. A section of the garden to the rear of the home has been secured to ensure service users safety. Staff are on duty twenty-four hours a day to care for service users. Ample car parking space is available at the front of the property. Macintyre Care - 12 Woodland Road DS0000006682.V259203.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Maureen Brown carried out this unannounced inspection on 10th March 2006. The total time at the home was five hours. One hour was spent reading previous inspection report and reviewing the service history of the home. All the service users, registered manager and staff were spoken with during the inspection. A tour of the building was carried out. All the bedrooms were seen during the visit. The secure garden to the rear of the home was also seen. A number of service user and home records were inspected. No relatives or other visitors were in the home during the visit. The service users have limited communication skills. Ten out of forty-three standards were assessed and all were met. Feedback from the inspection was given to the manager at the end of the inspection. What the service does well: The home had an established staff team who were keen for high standards to be maintained at Woodland Road. The care plans showed that service users’ care needs have been identified and that these needs are met. Because service users have lived in the home for some time staff have learned how best to meet their needs. Staff support service users to use community facilities. This ensures they have a varied and stimulating lifestyle. Risk assessments have identified possible safety issues and how these are to be addressed. During the visit staff were seen helping service users with personal care tasks such as eating, drinking and administrating medication. This was done in an appropriate and caring manner. Service users’ bedrooms and communal areas are maintained to a high standard. The décor and furniture are of a good standard and provide a warm and safe environment for service users. The manager and staff provide a high standard of care to service users. Relationships between service users and staff are good. Service users are able to approach staff for help with personal and other needs. Macintyre Care - 12 Woodland Road DS0000006682.V259203.R01.S.doc Version 5.0 Page 6 The home provides sufficient numbers of staff to meet service users needs and there is always a senior person on duty. Most of the staff team were qualified to NVQ level II or above and others were currently undertaking this award. The home provides a good variety of relevant training all staff have completed mandatory training. The home was clean and suitable and sufficient equipment is provided to meet the needs of the service users. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Macintyre Care - 12 Woodland Road DS0000006682.V259203.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Macintyre Care - 12 Woodland Road DS0000006682.V259203.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 Sufficient information is provided for service users to make a decision about moving into the home. EVIDENCE: A statement of purpose and service user guide was available which showed the services offered by the home. These documents included general information about the home, a description of the facilities, the fees charged, a copy of the complaints procedure and the details of the registered provider, manager and staff. Each service user had a copy of the home’s service users guide and this was kept with the service users plan of care. A copy of the most recent inspection report was available in the office and staff were aware of this. Currently the home has a block contract with the funding authority to care for the service users. The manager said that the organisation has discussed with the funding authority to have individual service user contracts, and these were now being agreed. A copy of the placement agreement between the organisation and the individual service users is kept on their files. Macintyre Care - 12 Woodland Road DS0000006682.V259203.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 The service users health, personal and social care needs are met by the staff team who enable them to maintain their privacy and dignity. EVIDENCE: Two service users care records were seen during this inspection. These were comprehensive and well presented in individual ring binders. Each contained sufficient information for staff to appropriately meet the needs of the service users. The person centred plans contain a wide range of information on service users and how their assessed care needs are to be met. Included was the level of staff support required by service users in their daily lives. The care files seen were well laid out and contained information, which was up to date. Assessed care needs of service users showed that they need staff support with every aspect of daily living. Staff were observed helping service users with these tasks in a sensitive and caring manner. Wherever possible service users are encouraged to take responsible risks as part of their independent lifestyle, for example, when they go out in the garden Macintyre Care - 12 Woodland Road DS0000006682.V259203.R01.S.doc Version 5.0 Page 10 and moving about the home. Risk assessments are in place which identifies health and safety issues for service users. During the visit staff were observed asking service users what they wished to eat or a drink and the manager confirmed that service users are consulted on issues such as menus and annual holidays. Daily record sheets seen showed that day-to-day activities were recorded. This enabled staff and family members to see what a particular service user was undertaking during the day. They were written clearly, easy to follow and were signed by carers. Macintyre Care - 12 Woodland Road DS0000006682.V259203.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 & 16 Service users’ were able to take part in a range of activities of their choosing. Personal and family relationships were encouraged by the home and the staff team supported people with this. EVIDENCE: The care plan reflects the range of activities undertaken which included a weekly plan of activities. These included visits to hydrotherapy, sound beam, music and movement, reflexology and going out to local attractions such as Eastham Ferry and the Boat Museum. Also included were trips out to local shops and other local amenities. Service users confirmed they enjoy going out and about in the community, to local shops, out for lunch, to the pub or cinema. The home has a wheelchairadapted vehicle, which all service users can access. Visits from family and friends were recorded in the care plans and case notes. Service users and staff shared with the inspector the contact they had with Macintyre Care - 12 Woodland Road DS0000006682.V259203.R01.S.doc Version 5.0 Page 12 family members and said they could choose to see visitors within their own room or in the shared areas of the home. During the inspection staff spoke to service users in a friendly manner, using their preferred names. Macintyre Care - 12 Woodland Road DS0000006682.V259203.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 Service users received support from the staff for personal care in accordance with their stated preference. EVIDENCE: The Health Action Plans described how the service users preferred to be supported in their daily routines. Times for rising and retiring, preferred moving and handling techniques and personal care preferences were recorded. All service users were dressed differently according to their own choice. Service users tended to visit GP’s, chiropodists, opticians and dentists in the local community. These professionals would visit the home on request. Appointments with consultants and other hospital appointments were also undertaken. Records were kept of all these visits and they were up to date. Staff said that they supported service users on these visits. Macintyre Care - 12 Woodland Road DS0000006682.V259203.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 Satisfactory arrangements are in place to respond to complaints. EVIDENCE: The complaints procedure included details on how to contact the Commission for Social Care Inspection. A complete copy of the procedure is kept in the ‘Supporting People’ document. Service users, relatives and staff have access to a shortened version of the procedure, a copy of which is on display in the home. MacIntyre Care has produced the procedure in picture format, called ‘Service User guide to making a complaint’, a copy of which is kept on individual service users’ files. The manager said that no complaints have been received since the last inspection. CSCI have not received any complaints about the home. Service users and family members commented on the questionnaires that “I have a copy of the complaints procedure” and “I would speak to staff if I had a problem or complaint.” Macintyre Care - 12 Woodland Road DS0000006682.V259203.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 The home provided a clean and comfortable environment for the people to live in. EVIDENCE: The home is a domestic type building that provides service users with a wellmaintained, comfortable and homely environment. Bedrooms are individually decorated and furnished, hoists/lifting aids are also provided to assist service users with mobility problems. One bathroom, two separate toilets and one shower with toilet is provided for use by service users. Both the bathroom and shower have lifting equipment to help service users with mobility problems. The doors to these areas have locks that ensure the privacy of service users. Service users have access to communal areas, which includes a dining room in the kitchen, lounge and conservatory. A section of the garden has been secured and raised flowerbeds have been provided for the benefit of the service users. The home was clean, tidy and free from any unpleasant smells. Macintyre Care - 12 Woodland Road DS0000006682.V259203.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 Staff are employed in sufficient numbers to meet service users’ needs. Appropriately trained and supervised staff care for service users. EVIDENCE: The staffing rota showed that there are normally two staff on duty during the day/evening and one waking plus one sleeping in staff during the night. These numbers can include the registered manager. MacIntyre Care provide on-going training for staff including NVQ in care, this will help staff further improve their skills in caring for service users. Seven out of ten staff had achieved NVQ Level II or III, and two staff were undertaking this award at present. The registered manager and on senior care are NVQ assessors. The registered manager has also obtained NVQ level IV Registered Managers Award. Macintyre Care - 12 Woodland Road DS0000006682.V259203.R01.S.doc Version 5.0 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 Service users views were used in the planning for the home. Decisions are influenced by the information obtained from the surveys and from conversations with service users. EVIDENCE: Quality assurance questionnaires were available. Two types were used. One for service users and relatives and one for other professionals. These were completed throughout the year. Comments from service users and families included “activities are good”, “staff very caring and helpful”, “always put the service users first” and “very happy with the cleanliness of the home”. From discussions with the manager it was noted that an analysis of this information was not completed. It is recommended that the questionnaires be dated and have space for people to include there name if desired. See recommendation No. 1. Macintyre Care - 12 Woodland Road DS0000006682.V259203.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 X X X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Macintyre Care - 12 Woodland Road Score X 3 X X Standard No 37 38 39 40 41 42 43 Score X X 2 X X X X DS0000006682.V259203.R01.S.doc Version 5.0 Page 19 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA39 Good Practice Recommendations The registered person should include the date and space for names to be included, if desired on the quality assurance questionnaires. Macintyre Care - 12 Woodland Road DS0000006682.V259203.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Macintyre Care - 12 Woodland Road DS0000006682.V259203.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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